Abantu abaningi abaye baphila ngemuva komdlavuza wegciwane bakhathazekile ngeengozi zamagciwane wesibili. Ucwaningo oluningi lwamuva luveze ukuthi iziguli zomdlavuza we-thyroid zibhekene nengozi eyengeziwe yokuthuthukisa umdlavuza wesibili oyinhloko.
Esifundweni esikhulu sokubuyekeza eshicilelwe ku- Journal of Clinical Endocrinology and Metabolism, abantu abangaba ngu-40 000 ababenomdlavuza wegciwane lesandulela ngculazi bahlolwe isikhathi esingaphezu kweminyaka engu-25.
Amalungu eqembu lokucwaninga ahlolwe, ukuze ahlole ukuthi ayenomdlavuza wesibili wesibili. Abantu abangaba ngu-2000 abanomdlavuza wegciwane , otholakala ngemva komunye umdlavuza oyinhloko, babuye bahlolwa.
Abacwaningi banqume ukuthi iziguli zomdlavuza we-thyroid zibhekene nengozi enkulu engamaphesenti angu-30 yomdlavuza wesibili wesibili uma kuqhathaniswa nomphakathi jikelele.
Kubalulekile ukuthi uqaphele ukuthi lezi azizona izidakamizwa (ukusakaza) komdlavuza wokuqala we -roid , kodwa kunalokho, zibukeka uhlobo olusha lomdlavuza .
Izinhlekelele ezithile ze-Cancer Secondary
Ngokusho kocwaningo, ingozi ekhulayo yamagciwane wesibili ihlanganisa umdlavuza wezitho ezilandelayo kanye nezinhlayiya:
- gland saliary
- pharynx
- isisu
- emathunjini amancane
- ikholoni
- i-rectum
- amathambo
- i-soft tissue sarcoma
- non-melanoma isikhumba
- isifuba sesifazane
- i-prostate
- izinso
- ubuchopho
- i-adrenal gland
- i-non-Hodgkin's lymphoma
- i-leukemia
- ingqondo ye-parathyroid
Izingozi zalezi khansa zazihlukile.
Ucwaningo olwanyatheliswa ngo-2013 emaphephandabeni I- Thyroid ithola ukuthi izingozi ezengeziwe zokuthuthukisa enye yalezi zomshukela ngemuva kokuba nomdlavuza we-primary primary.
Ingozi yayixhomeke ezinhlotsheni ezahlukene zomdlavuza ocwaningwayo. Izinga lentengo lalihlobene nokulingana komdlavuza wesibeletho sokuqala, kanye nokusetshenziswa kanye nomthamo wokushisa imisebe ukuphatha umdlavuza wegciwane. Amagciwane wesibili ajwayelekile kunawo wonke ayengumdlavuza we-salivary gland nezinso.
Ucwaningo luye lwabonisa ukuthi abasengozini yomdlavuza we-thyroid bangengozini enkulu yokuthuthukisa umdlavuza webele, uma kuqhathaniswa nezingozi zomdlavuza webele emphakathini jikelele.
Ngokuyinhloko, labo besifazane abatholakala benomdlavuza wegciwane ngemuva kweminyaka engu-50 banengozi enkulu yokuthuthukisa umdlavuza wesibeletho wesibeletho wesibili.
Ingozi yokudala umdlavuza wegciwane lengculazi iphindwe kakhulu kulabo abanezinye izinhlobo zomdlavuza. Ngokuqondile, labo abasengozini enkulu bangabantu abaye banomdlavuza we-salivary gland, isifo, isisu, i-colon, i-rectum, isibindi, ama-pancreas, i-larynx, amaphaphu, amathambo, ama-sarcoma, ama-melanoma, isikhumba se-breast , uterine, ovarian, testicular, izinso, ubuchopho, i-adrenal, isifo sikaHodgkin, i-non-Hodgkin's lymphoma noma i-leukemia.
Olunye ucwaningo luye lwathola ukuthi ukwelapha izingane kanye nabantu abadala abashayela i-iodine ye-radioactive ngomdlavuza we-theroid kwandisa ingozi yabo yesifo somdlavuza wesibili, ikakhulukazi umdlavuza wesibeletho.
Ochwepheshe bathi ukusetshenziswa kwe-iodine e-radioactive- kungukuthi ukwelashwa kwe-carcinogenic-kungase kuchaze ingozi yokwanda kwamanye amagciwane, kodwa futhi bayavuma ukuthi imiphumela ye-carcinogenic therapy ayikwazi ukuchaza zonke izingozi ezikhulayo.
Kuneminye imibono eminingi:
- kukhona i-genetic risk factor eyinhloko yalezi zinkinga ezihlukahlukene
- kunesifo esabelwe yendawo yemvelo yezinhlobo ezahlukene zegciwane
- kukhona i-hormone eyabelwe ingozi ye-cancer ehlukahlukene
- izinhlobo zokwelashwa ezihlukahlukene ezibangelwa yi-carcinogenic zibangelwa ukwelashwa kwesibili
Ucwaningo olwengeziwe luzodingeka lwenziwe ukuhlola le mibono bese uthuthukisa ulwazi oluthe xaxa.
Okudingeka Ukwazi
Khumbula ukuthi ingozi enkulu yokuthola omunye umdlavuza iphezulu kakhulu uma unomdlavuza wegciwane, uma uqhathaniswa nomphakathi jikelele. Noma kunjalo, ngoba kukhona ingozi ethile, uzodinga udokotela wakho ukuba aqinisekise ukuthi uhlolwe ukwelashwa okuyisisekelo okujwayelekile okujwayelekile okufana nesifuba, isisu, ne-leukemia, ngesikhathi sakho sokulandela ngemuva kokwelashwa komdlavuza wegciwane.
Ngaphezu kwalokho:
- Odokotela abaqondisa impilo yeziguli abanomdlavuza we-primary primary kufanele baqaphele ingozi yamagciwane okuqala wesibili ezigulini zabo.
- Odokotela abaphatha ezinye iziguli zomdlavuza kufanele bahlale bebona ukuthi kungenzeka yini umdlavuza wegciwane ezigulini zabo.
- Iziguli ezinomdlavuza wegciwane kufanele zenze odokotela bazo bazi ngomlando wabo wezokwelapha , futhi bahlale bebona ingozi yabo yokwanda kwamanye amagciwane .
Umthombo:
> Aaron P, Brown J, et al. "Ingozi YeMfalignancies Yesibili Eyisisekelo kuze Kufike Eminyakeni Emithathu Emithathu Ngemuva Kwelapha Ukwelashwa Kwegazi Lomdlavuza We-Thyroid." I-Thyroid. 2007; 93 (2): 504-515. i-doi: 10.1210 / jc.2007-1154
> Kim C, Bi X, et al. "Ingozi yesifo somdlavuza wesibili ngemva kokuxilongwa komdlavuza wegciwane lengculazi iphakeme kakhulu ezincane ze-carcarcinomas." I-Thyroid. 2013 Meyi; 23 (5): 575-82. doi: 10.1089 / thy.2011.0406. I-Epub 2013 Apr 18.
> Sandeep, Thekkepat C. et. al. "Amakhansela Awesibili Eyisisekelo Esigulini Sengculaza Yegciwane: Isifundo Sokuxhuma Kwemibhalo Yomhlaba Wonke, J Clin Endocrinol Metab 2006 91: 1819-1825; kuqala eshicilelwe ngoFebhuwari 14, 2006 njengenhloko: 10.1210 / jc.2005-2009